East Toronto Health Partners, working in unison: Integrating care for chronic disease management

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Observational analysis identifies scalable integrated care model for chronic diseases, highlighting community engagement and health equity.

Achieved consensus on a scalable model for integrated care that enhances chronic disease management, including co-morbidities and diverse healthcare access.
Co-design involved over 50 stakeholders, ensuring meaningful contributions from patients, caregivers, and providers, which informed the care pathways.
Implementation and evaluation will emphasize evidence-based practices to enhance the quality of care across different chronic conditions.
Engagement strategies affirm the importance of community participation, which is vital in minimizing fragmentation in chronic disease management.

Pradhan et al. (2025) studied this question.

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View Full Paper

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Authors

Observational analysis identifies scalable integrated care model for chronic diseases, highlighting community engagement and health equity.

Achieved consensus on a scalable model for integrated care that enhances chronic disease management, including co-morbidities and diverse healthcare access.
Co-design involved over 50 stakeholders, ensuring meaningful contributions from patients, caregivers, and providers, which informed the care pathways.
Implementation and evaluation will emphasize evidence-based practices to enhance the quality of care across different chronic conditions.
Engagement strategies affirm the importance of community participation, which is vital in minimizing fragmentation in chronic disease management.

Pradhan et al. (2025) studied this question.

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